? Alice 4/16, cycle #9, PMPS 399, +2 456, +5 477 / #8 AMPS 335, +2 224, +4 137, +6 167

Discussion in 'Lantus / Levemir / Biosimilars' started by AliceMeowliss (GA), Apr 16, 2019.

  1. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
  2. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    I also may have trouble updating my SS today due to technical difficulties.

    Her syringe had a tiny bubble today and I realized looking at someone else's SS this morning that that could mean she got less than 4u?

    What kind of notes do you usually add to your SS? What things may be notable?

    I did get a little sleep last night yay! So I'll be a little better off today...
     
  3. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    Good morning :) :cat: Ahhh SLEEP!
    Gosh, everyone is so different in this department :joyful:.
    Some (many) use abr. for things. Most of the time I don’t know what in the heck they mean :eek:. Some people seem to write complete journal entries of events, comings and goings... some rarely write anything.
    You might want to look at different peeps SS. I think you’ll come up with, what works for you ;).
    Myself for example, I try to record the day knowing I am creating a daily diary for myself which will go into archives for me someday.
     
    AliceMeowliss (GA) likes this.
  4. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    I think Alice is starting to work the juice :cat: ;)... :bighug:
     
    AliceMeowliss (GA) likes this.
  5. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    I guess, let's say, what do you consider relevant? When my phone isn't busted up so badly, I keep notes on there with pics inserted, but keeping up with the SS and forums and other things has me taking a little less focus on tracking bowel movements and fecal scores, pre and post feeding etc weights, disposition, etc.....

    These are good notes for me to have in theory, but just for myself sometimes, too. Not all is relevant to share on SS?

    I'm rambling disconnected right now. Still in major sleep debt since DKA onset. Despite maybe a full cycle last night, I think.
     
  6. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    Krystina is not the most organized person and therefore time management seems to often times be a problem! Being a true Aquarius, strong right-brainer, I find for me that because I need to keep a SS on Nelli anyhow I have combined my notes, even copy emails from the vet into remarks of the day. This way, for me I am better organized.
     
    AliceMeowliss (GA) likes this.
  7. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    See this is why I used the notepad on my phone- not as streamlined as a spreadsheet but I could keep my notes without the confusion of where to put my notes. I don't know if that makes sense.

    Ideally I'd like a paper record of my own designed sheets, hole-punched and in a binder. But I'm not that organized to execute the binder concept and figure out what should be on what sheet.

    5 minutes to +2 test..... Whee.
     
    Krystina & Nelli likes this.
  8. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    I agree! Whole heartedly. There was a time not too long ago when I thought I would keep two copies of SS. One with my daily diary in it and the other one with remarks only applicable to Nelli treatment. Peeps don’t really need to know about my occasional daily woes, business woes, etc.
    Well, that turned out to be a freaking disaster just ask Marje and Grace! Thought I knew what I was doing but all I did was create a disaster. Thank God for @Ti-Mousse who graciously stepped in and helped me out… fixed back up :bighug:
     
    AliceMeowliss (GA) likes this.
  9. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    Signing off now... waaaay behind in my day!!
    Sign off Krystina, come on sign off I know you can do it!”
     
    AliceMeowliss (GA) likes this.
  10. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    I am going to try this. I’d feel better, not so exposed. Thanks :bighug:
     
    AliceMeowliss (GA) likes this.
  11. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    As someone who pretty much opens a spreadsheet for every cat I make an observation about, what I look for would include:
    • information about ketone tests
    • change in behavior that might be worrisome (e..g, lethargy)
    • nausea, vomiting, refusing food
    • any indication of pain or just not feeling good (e.g., "meatloafing")
    • any change in schedule
    • when you might be feeding high carb food
    • if you have a petsitter caring for your cat
    • some people also list positives that have occurred and some people have truly hilarious comments
    The idea with the comments is that it's a brief way for someone who doesn't want to page back through all of your posts to see if anything is different.
     
  12. Ti-Mousse (GA) Pepe (GA)

    Ti-Mousse (GA) Pepe (GA) Well-Known Member

    Joined:
    Dec 2, 2018
    was a pleasure to help you !!
     
  13. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    +2 244, trend for the day thoughts? I also had a really hard time bleeding her ears. It btook extra attempts. Sorry I'm trying bro use my phone and can't backspace!
     
  14. Ti-Mousse (GA) Pepe (GA)

    Ti-Mousse (GA) Pepe (GA) Well-Known Member

    Joined:
    Dec 2, 2018
    I always had trouble testing Ti-Mousse because of his frozen ears! What worked best for him was from Ella:
    Most important is to warm the ear otherwise it won't bleed!
    I use a baby washcloth. I dampen it, put it in a plastic baggie, and microwave it for about 15 seconds (test it on yourself first, since all microwaves are different).
    Fold the washcloth around her ear to warm the ear. When warm, put a little vaseline on the place near the edge of the ear you plan to test (this will help to bead up the blood drop). Blood flows from the tip of the ear down, so if you put a little pressure below where you plan to test, the blood drop will be easier to get.

    Fold the gauze pad around the ear and put a little pressure maybe 10-15 seconds on it to stop the bleeding and to prevent bruising.

    Always use Neosporin AB with pain relief after each test.
    Hope it works OK for Alice!
     
    AliceMeowliss (GA) likes this.
  15. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    @Ti-Mousse thanks the blood flowing from the tip of the ear part is new info to me! I have a little bean bag type thing they sent with my Lantus from DCIN. I heat that up. I don't have the pain relief neosporin just be regular. Will get some when I can afford. :\

    Test at +4 or +5? She seems in theory so far to peak on the earlier side except for that bounce. She's very hungry right now (at +3) but I told her she has to wait for the food to move a little. She's had half a can of friskies and a quarter can of fancy feast all mixed with water so far!

    She's so emaciated it's become extremely easy for me to tell where the food is at. It's awful when she lays on her side and she's really full and it's not just her stomach that I can feel the bulges and shapes of. :\

    When will she be able to regain muscle? She's so weak. :( I hate seeing her like this.
     
  16. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Ketone test at +2.25 was definitely trace or less. Did I post that yet? Can't remember. She seems pretty good today. The flick at the end of her tail might mean she is a little irritable though.
     
  17. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    I'd test at +4.....that's another pretty significant drop from AMPS to +2
     
    AliceMeowliss (GA) likes this.
  18. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    A quick housekeeping note -- can you add Alice's name to the subject line in your first post so it appears on the board?

    One thought is to feed Alice a low carb, high calorie food. Wellness pate style foods meet those criteria. It may help to get some weight on Alice.
     
  19. Krystina & Nelli

    Krystina & Nelli Well-Known Member

    Joined:
    Jul 4, 2018
    Perfect @Sienne and Gabby (GA) ... thanks ;)
     
    AliceMeowliss (GA) likes this.
  20. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    @Sienne and Gabby (GA) thanks! I'll update subject line when my screen allows. I wish I had done my username differently too now that I see how others do theirs. Oh well!

    So for awhile Alice was having pale/clay-colored stool, and her tummy has always been sensitive so I've found she can handle chicken and liver and stuck there with FF and friskies. She's been having poorer fecal score the past couple days and I think it's from the gravy chicken friskies other ingredients. Is Wellness very pricy? Can you recommend a flavor she might be able to handle? I will not feed rabbit because I'm also a bunny mommy. Otherwise, I think some turkey and fish bother her, maybe not beef but I don't usually feed that protein.
     
  21. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    +4 is 137
    +2 244
    AMPS 335

    Thoughts?

    She had 2.75 oz friskies 4% and 1/4 can FF 2%. No food in almost 2 hours. Shen was fed last at +2
     
  22. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    You can change it! Just click on your user name and then choose "personal details". At the bottom left, you'll see "change username"

    You can only do it so often though (every 30? days)
     
    AliceMeowliss (GA) likes this.
  23. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    I thought I remembered it saying when I signed up it couldn't change again. Thanks! :)
     
  24. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Oh. Feeding 1/4 can (1.3oz) friskies 4% and a scoop of 14% gravy and a 1/4 tsp pumpkin. Plus extra water.

    +5? +6?
     
  25. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    I think you could wait for +6.....unless she acts like she's really hungry....I always knew China was dropping because she demanded food in a way she didn't do any other time
     
  26. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    I've grown so used to her hunger I'm almost more worried when she isn't.

    Is it the BGL itself, or the drop, in this case, that exacerbates the hunger?

     
  27. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    She's following the food can with her eyes. They got so wide when I picked it up.

    image.jpeg
     
  28. Crista & Ming

    Crista & Ming Well-Known Member

    Joined:
    Jun 10, 2018
    Both haha. I know when Ming's dropping or at a lower number when he starts asking for food. Also when they're not used to lower numbers, they'll want to eat.

    It's very nice we're seeing blues though!
     
    AliceMeowliss (GA) likes this.
  29. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    +6 is 167, she had to wait in her carrier while I cleaned her room (surprise large pee puddle collected under the box, yuck!), but then she got a big meal (after BGL). She's holding steady. I'm going to give her a break. +10 might make interesting data. But if I do +8 too then it's a full curve. Hmm.
     
  30. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    Give her ears the break....no real need for a +8

    Doing a strict "curve" really isn't necessary for Alice right now....you're getting spot checks at various points in both cycles so that's more than enough
     
    AliceMeowliss (GA) likes this.
  31. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    I just weighed her and though I know it's food and water weight, she was u p to 2.44
     
    Chris & China (GA) likes this.
  32. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    I'm feeling so much dread over the next cycle. She gives me a rough time at night! Sigh. Bathroom floor snuggles, though. <3 My straightening up today may allow me to half-nap with her though at night. :)
     

    Attached Files:

  33. Sonia & Leo

    Sonia & Leo Well-Known Member

    Joined:
    May 24, 2018
  34. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    I had lots of pj parties. Made sleep impossible. I hope Alice doesn’t follow that pattern. Have you given any thought as to whether you will follow TR or SLGS? No rush. I’m just curious.
     
  35. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Not sure yet! I need to research and think.
     
  36. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Okay PMPS 399, shot 4u.

    BUT I'm not the best with the shots and usually I beg my partner to do it. This time I tried and I think I got it maybe because her fur doesn't feel wet. But it still smells like insulin. Then again maybe it was a little residue from squirting out the little extra I drew first.

    Sigh. Worried. :confused::(
     
  37. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    My electronic device is wigging out again so I may not be able to update the SS properly tonight. :(
     
  38. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Ugh it smells a lot like insulin on that side. :( :( :(
     
  39. Tom & Thomas (GA)

    Tom & Thomas (GA) Member

    Joined:
    Jun 23, 2018
    After I'm done with my draw I always flick the side of the syringe a couple times to knock off those drops hanging on the outside of the needle or at the top of the syringe body.
     
    Krystina & Nelli likes this.
  40. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    I'm probably treating Lantus like its stupidly fragile. I've seen some vague idea somewhere that it oughtn't be shaken, etc, etc. Its probably wrong. My partner did not think she smelled like insulin. So perhaps all is well. Going to be doing +2 on the hour again as I have her backed up to 8 even again, from delay the other day.

    Having technical difficulties, that is frustrating in regards to communicating and tracking/documenting as I normally would.
     
  41. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Why is Lantus so nervrewracking to me? Sigh!!!
     
  42. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    Look on the bright side. Testing done for this cycle. Relax and enjoy the rest of the night. :bighug:
     
  43. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    Since there's a very recent DKA in the picture, she should be doing TR (and she certainly is testing enough!)

    @CassandraCatface ...You might want to add "TR" to your signature
     
    AliceMeowliss (GA) likes this.
  44. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
  45. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    +2 was 456. Thoughts for the night??
     
  46. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Re: TR

    And okay. I'm so scattered I'm having trouble really processing. I need to review their meanings again I suppose.
     
  47. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    TR= Tight Regulation….increasing the dose as often as every 3 days until we're getting them where we want them

    We actually fast tracked you from 3 to 4 to get her numbers down
     
  48. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Testing is never over. Hah.

    But I got a giggle just now over autocorrect trying to mess with "testing".... I'll go be immature over here. Lol.
     
  49. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Versus?
     
  50. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    Get some sleep!!!

    If you happen to wake up later on, grab a test, but I think you can safely call it a night.

    You might want to add "FS?" to the U column for tonight for "possible furshot"
     
    AliceMeowliss (GA) likes this.
  51. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    Start Low, Go Slow (both are explained in the Sticky at the top of the forum)

    SLGS only increases the dose every 7 days at the earliest

    There's a lot more to them but with Alice having the recent DKA, the last thing we'd want to do is leave her on a dose that's not helping her any longer than absolutely necessary for safety
     
    AliceMeowliss (GA) likes this.
  52. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Oh the edit helped on your comment!
     
  53. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Really? Just... chill? What? Haha. Had a ketone test earlier today that looked trace at worst, but is there any more concern since BGL is high tonight?
     
  54. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    If you happen to get a chance to get another ketone test, great.....but right now, I think it's more important for you to get a good night's sleep
     
    AliceMeowliss (GA) likes this.
  55. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    @Chris & China (GA) thank you for taking your time with me today. My family member would like me more if I got some rest I think, too, so I'll let go a little tonight with Miss Meowliss. Her belly is so full right now anyway. Goodnight!
     
    Chris & China (GA) likes this.
  56. Crista & Ming

    Crista & Ming Well-Known Member

    Joined:
    Jun 10, 2018
    Sleep well! You deserve it :)
     
    AliceMeowliss (GA) likes this.
  57. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    +5 is 477..... so she's hanging out there. 2% FF and rehydrated freeze dried chicken with bonito. Yummmm.

    Fecal score is not as great the past few days. But it's been worse.
     
    Last edited: Apr 17, 2019
  58. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    @CassandraCatface - Wellness in the 3oz cans is expensive. However, if you buy the really big cans (12oz??), it's less expensive per ounce than Fancy Feast. They have a chicken flavor. If you go back to Dr. Lisa's food chart, she has all of the Wellness flavors listed. Her list also contains calorie info if you want to do some comparisons.
     
    AliceMeowliss (GA) likes this.
  59. nslade001

    nslade001 Well-Known Member

    Joined:
    Nov 12, 2018
    Just a note/question on the Wellness in case anyone knows....they did change their formulations, and the phosphorus levels are way up now as opposed to the great numbers on Dr. Lisa's chart, so no longer good for crf (kidney failure) kitties, but I don't know if the formulation altered the carb content to any extent? Flavorwise Willow did love it :) Side note: @CassandraCatface , you're doing an awesome job!
     
    AliceMeowliss (GA) likes this.
  60. AliceMeowliss (GA)

    AliceMeowliss (GA) Well-Known Member

    Joined:
    Jan 8, 2019
    Thanks that's helpful! Dr. Lisa's list was one of the first resources I found online and it changed everything. :)
     

Share This Page